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Research project: Patient Centred Integrated Medicine in the Management of Chronic Illness: a Qualitative Study - Dormant - Dormant

Currently Active: 

Background Complementary and alternative medicine (CAM) is popular with patients, yet how patients use CAM in relation to orthodox medicine (OM) is poorly understood.


To explore how patients integrate CAM and OM when self-managing chronic illness. Design of study Qualitative analysis of interviews.



Semi-structured interviews were conducted with individuals attending private CAM practices in the UK, who had had a chronic benign condition for 12 months and were using CAM alongside OM for more than 3 months. Patients were selected to create a maximum variation sample. The interviews were analysed using framework analysis.



Thirty five patient interviews were conducted and seven categories of use were identified: using CAM to facilitate OM use; using OM to support long-term CAM use; using CAM to reduce OM; using CAM to avoid OM; using CAM to replace OM; maximising relief using both CAM and OM; and returning to OM. Participants described initiating CAM use following a perceived lack of suitable orthodox treatment. Participants rejecting OM for a specific condition never totally rejected OM in favour of CAM.



Patients utilise CAM and OM in identifiably different ways, individualising and integrating both approaches to manage their chronic conditions. To support patients and prevent potential adverse interactions, open dialogue between patients, OM practitioners, and CAM practitioners must be improved.


Project team

Dr Sarah Brien, Prof George Lewith, Primary Care, Medicine
Dr Felicity Bishop, Primary Care, Medicine

Associated research themes

Self management in chronic health conditions

Related research groups

Complex Healthcare Processes

Conferences and events associated with this project:

Orally presented at the International Congress on Complementary Medicine Research Norway 2010

Orally  presented at Second European Congress for Integrative Medicine, Berlin, 2009.

Orally presented at Society for Academic Primary Care Annual conference, St Andrews 2009.

Orally  presented at 1st European Congress for Integrative Medicine, Berlin, 2008

Key Publication

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